Application for Employment

Two Ways to Apply

1. Please attach your cover letter and resume below. In addition, please complete and submit the online personal information form, so we know who you are!

2. Please print and mail your cover letter and resume to the following address. Don’t forget to include pertinent information such as your contact, the position for which you are applying, whether you are a U.S. citizen, etc.

Any misrepresentation or falsification of information requested here will be cause for rejection of this application or for subsequent discipline up to and including my dismissal from employment.

If my application for employment is accepted, the effective date of my employment shall be the time I actually begin to work. If I am employed, I agree to comply with and be bound by the safety and health rules and regulations of Glen Rose Medical Center.

My employment is not guaranteed for any term, and my employment may be terminated by the company or myself for any reason.

No management official is authorized to make any oral assurance or promise of continued employment.

I authorize a thorough investigation of my past employment and activities, agree to cooperate in such investigation, and release from all liability or responsibility all persons and corporations requesting or supplying such information.

I agree to submit to any lawful drug testing that may be required as a condition of employment and understand that refusal to submit to such testing during the course of my employment may result in disciplinary action, up to and including discharge.

I understand that according to federal law all individuals who are hired must, as a condition of employment, produce certain documentation to verify their identity and U.S. citizen status, or, if aliens, their legal authorization to work in the U.S. Therefore, I realize that any offer of employment would be contingent upon my ability to produce the required documentation within the time period required by law.

Application for Employment

Cover LetterMaximum Size 5MB

ResumeMaximum Size 5MB

Full Name (required)

Maiden Name (If Applicable)

Present Address- Street, City, State, Zip

Phone Number (required)

Your Email (required)

Are you a U.S. citizen?YesNo

If "No", are you legally allowed to work in the U.S.?YesNo

If employment is offered, can you submit a birth certificate, social security card, certificate of U.S. citizenship, or verification of your legal right to work in the U.S.?YesNo

If employment is offered, can you produce a personal identification such as a U.S. passport, a driver's license, or photographic identification card issued by the State?YesNo

What date are you available for employment?

Have you ever applied for a position with Glen Rose Medical Center?YesNo

If "Yes", please explain.

For what type of employment are you applying?Full TimePart TimeSummer

For what position are you applying? (required)

License Type (If Applicable)

What is your minimum salary requirement?

By checking this box, I consent that I understand that all applied is true and subject to verification.I agree

This Company will not discriminate against any employee or applicant for employment because of age, religion, sex, race, color, national origin, disability, non-job-related handicap, or because they are a disabled veteran or Vietnam era veteran. Answers to application questions will be utilized for applicable, job-related information only.